Individual provider · Type 1 NPI

Lisa Ann Whitesell, MA72926

Massage Therapist · New Port Richey, FL

NPI number 1417516873 Active

Practice location

5307 Main St
New Port Richey, FL 34652-2536

Call (727) 900-7788 Map

Mailing address

10808 Deerberry Dr
Land O Lakes, FL 34638-6894

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA72926 (FL)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1417516873

Lisa Ann Whitesell, MA72926's National Provider Identifier is 1417516873, issued on Jun 10, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in New Port Richey, FL. The record was last updated on Jun 10, 2019.